MARION WOMEN'S HEALTH CENTER INC
NPI 1770616963
Specialist in Marion, OH

NPI Status: Active since March 14, 2007

Contact Information

960 S PROSPECT ST
MARION, OH
ZIP 43302
Phone: (740) 383-2776
Fax: (740) 383-2978

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Specialist
CLIA Number: 36D0961900
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 06-20-2025

About MARION WOMEN'S HEALTH CENTER INC

This page provides the complete NPI Profile along with additional information for Marion Women's Health Center Inc, a provider established in Marion, Ohio operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1770616963 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Jaybalan R Moodley Md (Owner)

NPI: 1770616963
Provider Name: MARION WOMEN'S HEALTH CENTER INC
Entity Type: Organization
Location Address: 960 S PROSPECT ST MARION, OH 43302
Location Phone: (740) 383-2776
Location Fax: (740) 383-2978
Mailing Address: 960 S PROSPECT ST MARION, OH 43302
Mailing Phone: (740) 383-2776
Mailing Fax: (740) 383-2978
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-14-2007
Last Update Date: 05-29-2014
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Specialist
Taxonomy Code: 174400000X
Type: Other Service Providers
Taxonomy Description: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	261QA1903X	Ambulatory Health Care Facilities	Clinic/Center Ambulatory Surgical

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. JAYBALAN R MOODLEY MD
Authorized Official Title: OWNER
Authorized Official Phone: (740) 383-2776

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
2255198	MEDICAID (05)	OH
0776563	MEDICARE ID-TYPE UNSPECIFIED (04)	OH
F96620	MEDICARE UPIN (02)	OH
S35818	MEDICARE UPIN (02)	OH
NP00432	MEDICARE ID-TYPE UNSPECIFIED (04)	OH
0210069	MEDICAID (05)	OH

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 36D0961900
Facility Type: Physician Office
Certificate Effective Date: June 21, 2023
Certificate Expiration Date: June 20, 2025
Laboratory Director: DR. JAY MOODLEY MD
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Marion Women's Health Center Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	7	0	6	1	6	9	6	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	14	0	12	1	12	9	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 2 + 1 + 1 + 2 + 9 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3									3

The NPI number 1770616963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

MRS. BRENDA LEE GATCHEL CRNP

Nurse Practitioner

(Obstetrics & Gynecology)